Provider Demographics
NPI:1629038492
Name:OSCODA AREA FIRST RESPONDERS
Entity Type:Organization
Organization Name:OSCODA AREA FIRST RESPONDERS
Other - Org Name:OSCODA AREA EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RYUN
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:RIDGWAY
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P I/C
Authorized Official - Phone:989-820-7146
Mailing Address - Street 1:PO BOX 362
Mailing Address - Street 2:
Mailing Address - City:OSCODA
Mailing Address - State:MI
Mailing Address - Zip Code:48750-0362
Mailing Address - Country:US
Mailing Address - Phone:989-820-7146
Mailing Address - Fax:
Practice Address - Street 1:406 OCEANA ST
Practice Address - Street 2:
Practice Address - City:OSCODA
Practice Address - State:MI
Practice Address - Zip Code:48750-1418
Practice Address - Country:US
Practice Address - Phone:989-820-7146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI35-1005341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance